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Our Service Areas
We provide rigorous financial consulting and strategic pharmacy (PBM) value management designed to optimize healthcare businesses & benefit landscapes.
01
Health plans · TPAs · Employers · Coalitions
02
PBM Strategy & Procurement
PBMs · TPAs · Health plans · Insurtech
Underwriting & Pricing Model Development
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Independent PBM RFP design, scoring, and negotiation strategy
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Pricing architecture: pass-through, traditional spread, hybrid
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Contract leakage diagnostics and renewal re-pricing
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Specialty pharmacy carve-out and channel strategy
- Underwriting model architecture (AWP, fees, rebates, network spread)
- Pricing guarantee guideline design and governance
- Bid review, deal scoring, and EBITDA defense
- FP&A integration: model → forecast → GL reconciliation
03
PBMs · Plans · Manufacturers · Aggregators
Rebate Model & Formulary Economics
- Rebate guarantee construction and pass-through design
- Formulary tier economics and net-cost optimization
- Manufacturer contract value-mapping and admin-fee analysis
- Accrual logic, true-ups, and federal transparency compliance
05
StRATEGIC INVESTORS · PE · Health services platforms
M&A Diligence & Integration
- Pharmacy & PBM target diligence (quality of revenue, rebate risk)
- Synergy modeling and integration value preservation
- Clean-room operations and Day-1 financial controls
- Post-close pricing, underwriting, and FP&A redesign
04
IDNs · Hospitals · Specialty pharmacies · 340B entities
Health System Pharmacy Economics
- Specialty and home-delivery P&L design and benchmarking
- 340B program economics and contract-pharmacy strategy
- Payer contracting from the provider side
- Integrated dispensing investment cases
06
Plan sponsors · Boards · Investment teams
Value-Mapping & Cost-Analysis
- Claim-level value-mapping across the pharmacy supply chain
- Independent third-party PBM audits and economic reviews
- Trend, cost-of-goods, and gross-margin analytics
- Board-ready economic narratives and decision packages
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